The New England journal of medicine
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Randomized Controlled Trial Multicenter Study Clinical Trial
Intramuscular injection of botulinum toxin for the treatment of wrist and finger spasticity after a stroke.
Spasticity is a disabling complication of stroke, and it is uncertain whether intramuscular injections of botulinum toxin type A reduce disability in persons with spasticity of the wrist and fingers after a stroke. ⋯ Intramuscular injections of botulinum toxin A reduce spasticity of the wrist and finger muscles and associated disability in patients who have had a stroke.
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Comment Letter Comparative Study
Psychological sequelae of September 11.
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Extreme obesity is recognized to be a risk factor for heart failure. It is unclear whether overweight and lesser degrees of obesity also pose a risk. ⋯ In our large, community-based sample, increased body-mass index was associated with an increased risk of heart failure. Given the high prevalence of obesity in the United States, strategies to promote optimal body weight may reduce the population burden of heart failure.